Access to Nephrology Care for Pregnancy-Related Acute Kidney Injury in Low- and Lower-Middle-Income Countries: A Perspective

Elrggal, Mohamed E; Bajpai, Divya; Tannor, Elliot Koranteng; Azmat, Rabeea; Bashir, Ahmed Muhammad; Banda, Justor; Nzana, Victorine; Nlandu, Yannick Mayamba; Waziri, Bala; Baah, Winfred; Dahwa, Rumbi; Shemies, Rasha Samir

doi:10.1016/j.xkme.2023.100695

Cited by 6 publications

(3 citation statements)

References 49 publications

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“…100 Pregnancy, according to the International Society of Nephrology, stands out as the most common cause of CKD in low-and middle-income countries, possibly due to inadequate perinatal care or inadequate management of pregnancy complications, including HDP, obstetric hemorrhage, and sepsis. [101][102][103] For example, in Nigeria, 57% of mothers with kidney complications do not receive adequate treatment as they are referred for treatment late. 104 Additionally, anemia is common among pregnant women in SSA, increasing the likelihood of severe kidney damage in women who experience sepsis or obstetric hemorrhage.…”

Section: Kidney Diseasementioning

confidence: 99%

Hypertension Related Co-Morbidities and Complications in Women of Sub-Saharan Africa: A Brief Review

Hahka,

Slotkowski,

Akbar

et al. 2024

Circulation Research

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Hypertension is the leading cause of cardiovascular disease in women, and sub-Saharan African (SSA) countries have some of the highest rates of hypertension in the world. Expanding knowledge of causes, management, and awareness of hypertension and its co-morbidities worldwide is an effective strategy to mitigate its harms, decrease morbidities and mortality, and improve individual quality of life. Hypertensive disorders of pregnancy (HDPs) are a particularly important subset of hypertension, as pregnancy is a major stress test of the cardiovascular system and can be the first instance in which cardiovascular disease is clinically apparent. In SSA, women experience a higher incidence of HDP compared with other African regions. However, the region has yet to adopt treatment and preventative strategies for HDP. This delay stems from insufficient awareness, lack of clinical screening for hypertension, and lack of prevention programs. In this brief literature review, we will address the long-term consequences of hypertension and HDP in women. We evaluate the effects of uncontrolled hypertension in SSA by including research on heart disease, stroke, kidney disease, peripheral arterial disease, and HDP. Limitations exist in the number of studies from SSA; therefore, we will use data from countries across the globe, comparing and contrasting approaches in similar and dissimilar populations. Our review highlights an urgent need to prioritize public health, clinical, and bench research to discover cost-effective preventative and treatment strategies that will improve the lives of women living with hypertension in SSA.

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Section: Kidney Diseasementioning

confidence: 99%

Hypertension Related Co-Morbidities and Complications in Women of Sub-Saharan Africa: A Brief Review

Hahka,

Slotkowski,

Akbar

et al. 2024

Circulation Research

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show abstract

“…However, participants described the need for system-wide efforts and investments rather than microlevel interventions to effectively promote and adopt ESKC. 39 Many mentioned that global cooperation is required as increasing access to health care must be prioritized in LMICs. We propose implications stratified by scope of relevance ( Figure 7 ).…”

Section: Policy and Practice Implicationsmentioning

confidence: 99%

Challenges to Implementing Environmentally Sustainable Kidney Care in LMICs: An Opinion Piece

Bajpai,

Hailu,

Bagasha

et al. 2024

Can J Kidney Health Dis

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“…For pregnancy-related AKI, outcomes are largely ominous, with maternal mortality ranging from 4% to 22.5%, fetal mortality from 45% to 74%, and progression to ESKD in 4%–37.5% of survivors. 10 – 12 Preeclampsia was the most common cause of pregnancy-related AKI, followed by sepsis and peri-partum hemorrhage. 10 Most patients presented in their third trimester, followed by the puerperium, second trimester, and first trimester.…”

Section: The Outcomes Of Aki In Egyptmentioning

confidence: 99%

Global Perspectives in Acute Kidney Injury: Egypt

Elrggal,

Shemies,

Hassanein

2024

Kidney360

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Access to Nephrology Care for Pregnancy-Related Acute Kidney Injury in Low- and Lower-Middle-Income Countries: A Perspective

Cited by 6 publications

References 49 publications

Hypertension Related Co-Morbidities and Complications in Women of Sub-Saharan Africa: A Brief Review

Hypertension Related Co-Morbidities and Complications in Women of Sub-Saharan Africa: A Brief Review

Challenges to Implementing Environmentally Sustainable Kidney Care in LMICs: An Opinion Piece

Global Perspectives in Acute Kidney Injury: Egypt

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